San Juan Health

Cost Estimator

Spanish Valley Clinic| Cash Pricing| Infusion| Select a Service

Select a service.

You may need to get a specific service code from your provider.

Code

Description

Intro Needle/Intracath Vn

IMMUNIZATION ADM; 1 VACCINE ED Charge

HYDRATION (1ST HR) CHARGE

Hydration IV Infusion Initial

Hydration, first hour- Hosp

HYDRATION ADDITIONAL HOUR CHARGE

HYDRATION IV INFUSION ADD ON ED CHARGE

HYDRATION IV INFUSION ADD ON ED CHARGE- ER SRVCS

Hydration, each additional hour- Hosp

IV Infusion Therapy, 1st Hour- Hosp

OP IV THERAPY - ER SRVCS

OP IV THERAPY - TX/OBS

IV Infusion Therapy, Ea Addl Hour- Hosp

OP IV THERAPY EA ADDL HR

OP IV THERAPY EA ADDL HR - ER SRVCS

OP IV THERAPY EA ADDL HR - TX/OBS

Additional seq infu of new drug/substance up to 1 hr -

Additional seq infu of new drug/substance up to 1 hr - ER SRVCS

Additional seq infu of new drug/substance up to 1 hr - TX/OBS

Additional sequential infusion of a new drug/substance

Additional sequential infusion of a new drug/substance up to 1 hour

IV Infusion, Addl Sequential Infusion, 1st Hour-Hosp

TX/PROPH/DG ADDL SEQ IV INF ED Charge

Concurrent infusion

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